Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elizabeth Lanum

Individual provider Nurse Practitioner · NPI 1760338107

Elizabeth Lanum is a Nurse Practitioner in Kenosha, Wisconsin. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Wisconsin.

Years since qualifying
1
Licensed in
WI
In the registry since
2026

Practice location Address checks out

10400 75th St
Kenosha, WI 53142-7884
Phone: (262) 948-5600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13250 Washington Ave, Mount Pleasant, WI 53177-1516 — (262) 799-8700

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 18080 (WI)

Record details

NPI number1760338107
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 9, 2026
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026
Mailing address10400 75th St, Kenosha, WI 53142-7884

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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